Abstract
The management of infections with multidrug-resistant Pseudomonas aeruginosa needs fast and reliable methods of antibiotic susceptibility testing for a therapy improvement. For this purpose, we developed a DNA microarray for genotyping antibiotic resistance and a few virulence factors. The array covers mutations in the efflux regulators mexR, nfxB, mexT, gyrase gyrA, and parC, as well as plasmid-encoded vim, imp, oxa, aph, aac, and aad genes, and virulence-associated mucA and exoU, exoT, and exoS genes, respectively. The whole procedure can be performed in less than 5 h and consists of DNA isolation, target gene amplification, fluorescence labeling, fragmentation, and array hybridization. Concerning the genotype-phenotype comparison in the test collection, the coverage of relevant resistance determinants for antibiotics used in a calculated therapy of critical ill patients was 87.8%.
Original language | English |
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Pages (from-to) | 325-38 |
Number of pages | 14 |
Journal | Diagnostic microbiology and infectious disease |
Volume | 59 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2007 |
Keywords / Materials (for Non-textual outputs)
- Cross Infection
- Drug Resistance, Multiple, Bacterial
- Genotype
- Humans
- Microbial Sensitivity Tests
- Oligonucleotide Array Sequence Analysis
- Phenotype
- Pseudomonas Infections
- Pseudomonas aeruginosa
- Virulence